2004-02-24_REVISION - M1977153 ‎(2)‎

• Permit No: M1977153
• IBM Index Class Name: Revision
• Doc Date: 2/24/2004
• Doc Name: Construct Slurry Wall
• From: Denver Water
• To: DRMS
• Type & Sequence: AM2
• Media Type: D
• Archive: No

Payment Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable.
CONTRACTOR (Name and Address):
OWNER (Name and Address):
CONTRACT
Date:
Amoum:
Description (Name and Location):
BOND
Date (Not earlier than Contract Date):
Amount:
Modifications to this Bond Form:
SURETY (Name and Address of Principal Place
of Business):
Surety and Contractor, intending to be legally bound hereby, subject to the terms primed on the reverse side hereof, do each cause
Payment Bond to be duly executed on its behalf by its authorized officer, agent, or representative.
CONTRACTOR AS PRINCIPAL SURETY
Company: {Corp. Seal) Compatry:
Signature: Signature:
Name and Title: Name and Tile:
(Anach Power of Attorney)
(Space is provided below for signatures of additional parties, if required)
CONTRACTOR AS PRINCIPAL SURETY
Company: (Corp. Seal) Company:
Signature: _
Name and Title:
Signature: _
Name and Title:
{Corp. Seal)
(Corp. Seal)
ETCDC No. 1910-28-B (1996 Edition)
Originally prepared though the joint efforts of the Surety Assaciarion of America, F~tgineers Joint Connect Docmnems Committee, the Associated General
o(America, the Amery^n LuUmte of Architects. the American Subcomtacmrs Associaucq aM the Associated Specialty Connectors.
PAB-1